Thoughts on General and Partial Inoculations: Containing a translation of two treatises written when the author was at Petersburg, and published there, by Command of her Imperial Majesty, in the Russian LanguageDimsdale, Thomas
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Thoughts on General and Partial Inoculations: Containing a translation of two treatises written when the author was at Petersburg, and published there, by Command of her Imperial Majesty, in the Russian Language
Dimsdale, Thomas
Smallpox -- Vaccination -- Early works to 1800
A list of the names and ages of such inhabitants of every town and
village as have not had the Small Pox, is the first necessary step to be
taken; and marks should be made against the names of those who on
account of their ill state of health, or other reasons, are not thought
fit subjects for the operation in the judgment of the inoculator; and
such persons should be provided with a separate place of abode, where
they may not be in danger of receiving the infection: the rest should be
collected together in one place, inoculated at one time, and proper
medicines, with directions specifying the time and manner in which they
are to be taken, should be distributed to each individual. On the fourth
day after the inoculation they should again be assembled together, the
punctures examined, and such farther medicines given as the inoculator
may think proper. After the seventh the patients should be examined
daily; for from that time to the eleventh, or perhaps fourteenth, is a
period that requires more particular attention. During the whole of this
time, and indeed throughout the whole process, the sick may continue at
their own houses. And it may be reasonably presumed, that there will be
a sufficient number of such as are but slightly indisposed, who may be
able to assist the others, so as to make the expence and trouble of
nurses unnecessary. But we must also suppose, that of the very great
number inoculated there will be some who may have the disease severely,
or whose cases may require more constant attendance than they can
possibly have at their own habitations. To provide for such
extraordinary instances, therefore, a proper house and other
conveniencies should be previously appointed, to which they should be
removed when thought necessary.
It will be impossible to determine precisely how many patients may want
such attendance, and consequently difficult to provide exactly the
necessary accommodations; but I imagine there will not be more than four
or five out of one hundred.
The diet of all should consist of vegetables, milk, bread, and the like;
and in some cases a little mutton-broth may be allowed. The drink should
be nothing but water, unless by the particular direction of the
inoculator.
But in order to secure the observance of this regimen more exactly, all
salted provision and every kind of strong liquor ought to be removed
from the place, and every necessary precaution taken to prevent the
patients from procuring any. In respect to medicines, the prescriptions
being agreed on by the faculty, a sufficient quantity should be
prepared, and proper doses; agreeable to the different age and
constitution, put up separately, and distributed by the inoculator among
the patients, with directions in what manner they should be
administered; and their recovery should be completed with some proper
purgative.
Public-domain text, read in full here on John Shaqi.
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